Article

The complications of total hip arthroplasty (THA) during the immediate
postoperative period consist mainly in dislocation of the prosthesis, haematomas
under antocoagulants, early infections, dismantling of osteotomy, neurological
injury, heterotopic ossification and delayed restoration of the range of motion
of the hip joint. We present here an infrequently described case of haematoma of
the pectineus muscle following THA. Haematomas are not described in literature
except in rare cases of compressive haematoma associated with neurological
injury. In our case, the intraoperative blood losses were not particularly
massive, there were no anticoagulation accident or postoperative trauma and no
secondary deglobulinization. The question to be considered is that of a possible
stretching of the pectineus during hip dislocation, and possibly during the
surgical procedures for the implementation of the prosthesis with increased
length, as it is the case here. Haematomas of the pectineus are probably
underdiagnosed as they imitate other, more known, symptomatologies.
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Langue : ANGLAIS ; FRANCAIS